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Indiana rates for HCPCS 0572T

Insertion of substernal implantable defibrillator electrode

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.25 / $3,500.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.44 / $315.25 / $448.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.00 / $24,214.00 / $45,778.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.47 / $420.56 / $567.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.36 / $596.42 / $121,498.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.96 / $503.95 / $127,573.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.87 / $555.14 / $555.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,526.00 / $14,061.00 / $19,962.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.63 / $629.94 / $902.63